Healthcare Provider Details

I. General information

NPI: 1679496756
Provider Name (Legal Business Name): BETWEEN BLOOMS COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 SEMINOLE FIELDS DR
BROADWAY NC
27505-8016
US

IV. Provider business mailing address

57 SEMINOLE FIELDS DR
BROADWAY NC
27505-8016
US

V. Phone/Fax

Practice location:
  • Phone: 919-336-1631
  • Fax: 919-439-7895
Mailing address:
  • Phone: 919-336-1631
  • Fax: 919-439-7895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ERIN HOWARD
Title or Position: OWNER/PROVIDER
Credential: LCMHC, NCC
Phone: 919-897-6560